Price Checker / CPT 49505
How much does Hernia repair (groin, age 5+) cost?
CPT 49505 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 16x the fair price — among the most extreme markups. Dispute this.
Fair price
$760–$1,500
What this should cost
With insurance
~$3,400
Typical out-of-pocket
Overcharged if over
$1,900
Push back above this
The average hospital charge of $18,339 is $17,189 over the fair price (about 16x the fair rate).
What hospitals charge for Hernia repair (groin, age 5+)
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Franciscan Health Munster MUNSTER, IN | $88,769 | $23,701 | 17373% |
| Stony Brook Southampton Hospital , NY | $8,813 | — | 14867% |
| Memorial Medical Center PORT LAVACA, NM | $59,223 | — | 11557% |
| Person Memorial Hospital ROXBORO, NC | $58,830 | — | 11480% |
| Valley View Medical Center FORT MOHAVE, AZ | $57,403 | — | 11199% |
| BMC Baytown Hospital Baytown, TX | $57,605 | — | 8971% |
| BMC North Hospital Houston, TX | $57,605 | — | 8971% |
| Independence Heights Hospital Houston, TX | $57,605 | — | 8971% |
| Parrish Medical Center Titusville, FL | $47,911 | — | 8859% |
| Down East Community Hospital Machias, ME | $42,639 | — | 7580% |
| Lake Cumberland Regional Hospital SOMERSET, CO | $35,860 | — | 6959% |
| RICHMOND COMMUNITY HOSPITAL Richmond, VA | $35,854 | — | 6671% |
| Highpoint Health - Riverview with Ascension Saint Thomas , TN | $34,137 | — | 6619% |
| Los Alamos Medical Center LOS ALAMOS, NY | $30,509 | — | 5905% |
| Ashley Regional Medical Center VERNAL, UT | $25,420 | — | 4904% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Hernia repair (groin, age 5+)
CPT code 49505 refers to hernia repair (groin, age 5+) (billing description: "Prp i/hern init reduc >5 yr"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $508 in a facility (hospital or surgery center) and $508 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.